HomeMy WebLinkAboutPermit Mechanical 2009-10-8
......
i
.' '.'
..
Mechanical Authorizatiou To Begiu Work
69600-BMC-09-00146
,'.
E-mailedTo:puhala22@comcast.net
10171~009 6:09 pm
App~o,,"al Code: 054320
":".'.,
..,......
Check on status of permil
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
10 NewConstruction
'[j';'AdditionlwterntiOnlrep]ace'ment.
Description
I E. J . Tolo'
""""",'1C'.!'t!iV.""",,,,-.t''',r~.r-=I'
;:"-J.i :'~-'. -_"';~~_";,~:\':.",
I $79,001,
10 I ,,"_nily dw'~li"g ,0 Molti,'.mily ,0 C,~,,,i.1 o A"",,')' Boildin,
Ifi1~!l;~!L~JOBTSifE1rNfoFtMATIONlAN01~()CATIO~~l~"';~
I Job Address: 415] FPRSVfHlAST '
I Cil)'fStatelZIP:. SPRINGF]E~D: O,R 97478
I SUitelbldg./Rpt.no,: .~;,-;:
I ProjectNRme:
I C"" S"""",,,,.,., ,,'job ,it"
I Tax mRp/parcelno.:
First App]ianceFee
Subtotal
Stijte surcharge (12% ofpe.mlit
total)
Technology fee (5% of permit
total)
TOTAL PERMIT HE
$79.00
$9.48
$3.95
592.43
tq-\L\~
~ \ 0 I 'B f oC\
install of free sta.nding wood stove
I Name: MARIO PUHALA
I Phone: 541-870-9795 Fax:
I Em~il: puha]a22@comcast.net
Ilh 'i,~', "'- ."'",1...._,' """"',....~~ '-",'0",,"..,.-'jUr'_"",if!? i",' """''''1
jj-o/~~i0:~;ifjEit&i:~~f\c:ONTRAGI()BA:,;.0'JM:-~-"!:*;'':?i~~:t1:~i.;.;~,:r"75-j![l, '7;l
1 CCBh,.nO:'I1726~<?FRMIT SHALL EXl"lKt Ir TH:.~v~JT 1
I BusmessNll.me: REo--HOTco~rn:t!lcrrI0rn.mil~ t"tt\IVIII loJ I"
l-Ill! IIUIIII..l.. ......- ~ -C'.....
I Cont"" r.nMMENCED OR IS At\AI~UVI~CU , u,.
1 Add",,, PO~~?lf21W[) 0 A ':{ PER IOU,
I City/State/ZIP: EUGENE, OR 97402
I Phone: 54].870-9795 Fax;
Email:
ATTENTION: Oregon law requires you to
foHow rules ~dopted by the Oregon Utility
~otlflcatlon Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090,. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344), '
Metro lie. no.:
Citylic.nu.:
Upon review and approval by your local jurisdiction, your permit will be
e-mailed or faxed within one business day, with instructions on how to
schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a penn it Is
not obtained. _ t\ 0
The local building department may determine that an Authorization To Begin. ~
Work is null and vo~d if It does not meet applicable land use laws and local . ill\')\. 0
ordinances .. .s.;-l,\ Cb."
~ \Q':\
"
~
\O~oo.
\Jv~ ~~
This Authorizati<?n To Begin Work must be posted at the job site until replaced by a Permit ':
Status
Issued
. , CITy.; OF SPRINGFIELD
Building/Cdmbination Permit
PERMIT NO: C,OM2009-01486
ISSUED: 10/08/2009
APPLIED: 10/08/2009
EXPIRES: 04/08/2010
VALUE:
225 Fifth Street, Springfield, OR'
541-726-3753 Phone;:'
541-726-3676 Fax' :
541-726-3769Inspectiou Line
SITE ADDRESS: ' 4151 FORSYTHIA ST
ASSESSOR'S PARCEL NO,: 1802052200408
Spriugfield TYPE OF WORK: Wood Stove
PROJECT DESCRIPTION:
TYPE OF USE:
Install free standing wood stove iu residence
I,
"
New~:
Residential i
Owner: ORTEGA JOSEFINA
Address: '4151 FQRS'yTHIA ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
:" RED HOT CONSTRUCTION
License
172640
ExpiratilJD Date
I,
10/18{2010
Phone
541-870-9795
BUILDING INFORMATION I
# of Units:,
Primary Occnpaucy Gronp:
Secondary Occupaucy Group:
Primary Coustruction Type
Secondary Construction Type:
# of Bedrooms: '
, # of Stories:
Height of Structure
Type of Heat:
Water Type:
Rauge Type:
Euergy Path:
Sprinkled Buildiug: nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2ud Floor:
,
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
"
Occupaut Load:
"
II
"REQUIRED PARKING
II
I DEVELOPMENT INFORMATION I
Froutyard Se.tback=CE' Overlay Dist: liTotal:
Side 1 Setbac~:U I , . # Slreet Trees Rqd: IIHaudicapped:
Side 2 Setback~~ ,PERMIT SHALL EXPIRE IF TH[!'~YtJ:fiWive Rqd: ATTENTION: Oregon la~l<Wiiipiicf,YDuto
Rearyard Setoacl{:ORIZED UNDER THIS PERMIT'1:>'o~brt Coverage: follow rules adopted by the Oregon Utility
Solar Setbaci{s':MMENCED OR IS ABANDONED FOUR' U Notification Center, ThosE) rules are set_foort1~
^ 0."... ~_ _ .. _ . _ __...... r........j "n,l(\thr...."lnh nAR 9520
,,,., 'uu OJt1, n:n,uu, I PUBLIC IMPROVEMEN~~;I"):' 'Yo-~ m~y obtain copies of the rules ny
, , 'callin 'he center. (Note: the telephone
b gSldewalk-Type:n Utility Notification
num sr IUI 111v ,....11 ,;:l..... " .
D~--'-.;o L/D0!1()..'<82-2344).
ownspouts ral,n"s: ..
Street Improvemeuts:
Storm Sewer Available:
Speciallnstructiou:
Notes:
"
I Valuation Descriotion I
Description
Type of Constructiou
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amouut
Value
Date Calculated
Paee I of 2
225 Fifth Street,:Springjield, OR
541-726-3753 Pbone', . '
541-726-3676 Fax
541-726-3769 Iuspection Line
,;.
CITY OF SPRI~\:i1<lELD
Building/Combination Permit
PERMIT NO: COM2009-01486
ISSUED: ]0/08120'09
APPLIED: ]0/08/2009
EXPIRES: 04/08/2010
VALUE:
Status
Iss~ed" .
".
"
Total Value of Project
~
','
Fees Pllid .
Fee Descriptiou
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
$9,48
$3,95
$79.00
10/8/09
10/8/09
10/8/09
Receipt Number
3200900000000000698
3200900000000000698
3200900000000000698
Total A.rtOlint Paid
$92.43
11 \ I
o! ~ i ' ~. I
I Plan Reviews I
c
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will "be made the following
work day.
ReCII~iredlnsnections I
Wood Stove: After lustallation.
By signature, I state and agree, that I have carefully examined the completed application a'~d do hJreby certify that all
,
information hereon is true and correct, and I further certify that auy aud all work performed shall:he done iu accordauce with
the Ordinances of the City of Springfield aud the Laws of the State of Oregon pertaining to the wJrk described herein, and
that NO OCCUPANCY will be made of any structure without permissiou of the Commuuity Servi~es Division, Building Safety:
I further certify that only contractors aud employees who are iu compliauce with ORS 701,005 will'be used ou this project.
I further agree to ensure that all required inspections'are requested at the proper time, that each address is readahle from the
street, that the permit card is located at the front of the property, aud the approved set of plaus will remain on the site at all
times during construction.
Owner or Contractors Signature
,.
:t
Date
Pa2e 2 on
-"':.'
225 Fifth Street '" '
Springfield, Oregon 97477
54]-726-3759 Phone
.
, RECEIPT #:
". .' "1- '. '--,', '
Job/Journal Number:'~-:;~:1- Desctiption
COM2009-01486 '.lstAppliailce ':"
COM2009-01486 + 5% Technology Fee
COM2009-01486 + 12% State Surcharge
Payments:
Type of Payment
ONLINE CHGS
cReceintl
. .~.,;,.
--
:'PaidIi/: :
",'ONLINE PERMITCHGS
~ '. ,.'- \, f:. '"
..<,...., ,.
l'
1: "
"f~~~~~~--~.,"--' ':,.,.
*,~ "
-- ~ '
.,..... ','
_._,~..,"..., -,.. "..' ,
City of SpriIlgtield Official Receipt !,'
Developmerlt Services Department
I'
Public Works Department
3200900000000000698
Date: lO/0~/2009 ,
Received By
KR
Item Total:
t:heck Number Authorization
Batch Number Number How Received
"
ONLINE RED HOT Online
CONSTRCT
ION
Payment Total:
Page I of I
I] :36:04AM
Amount Due~
79,00
3.95
9.48
$92.43
Amount Paid
$92.43
$92.43
10/8/2009